Organization
PETER J CORNELL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J CORNELL M.D. (PRESIDENT)
(310) 274-9205
Entity
Organization
Contact information
Practice address
450 N BEDFORD DR, STE 101, BEVERLY HILLS, CA 90210-4324
(310) 274-9205
(310) 274-7229
Mailing address
450 N BEDFORD DR, STE 101, BEVERLY HILLS, CA 90210-4324
(310) 274-9205
(310) 274-7229
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0007690
—
CA
Enumeration date
03/19/2007
Last updated
11/16/2007
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